Abstract
This study examines recent campaign contributions to members of US congressional committees responsible for legislating on the opioid crisis by political action committees (PACs) associated with firms under investigation for having contributed to the crisis.
Federal lawmakers have recently taken steps to ensure that the policy response to the opioid crisis is not influenced by advocacy groups with financial ties to the opioid industry.1,2 However, whether members of Congress might have relevant conflicts of interest stemming from financial ties to the opioid industry is unknown. Although advocacy groups can influence policy only indirectly, members of Congress oversee federal agencies and are directly responsible for crafting legislation to address the opioid crisis. In particular, members of the Senate Health, Education, Labor, and Pensions (HELP) Committee and the House Energy and Commerce Committee have led the Senate and House responses to the crisis.
To assess financial ties between the opioid industry and federal lawmakers with the greatest responsibility for addressing the opioid crisis, we examined campaign contributions to members of the Senate HELP and House Energy and Commerce committees by political action committees (PACs) associated with firms being investigated by state and federal officials for having contributed to the crisis. Although many firms have financial interests related to opioids, the focus was on these firms because they have a clear financial stake in opioid policy development.
Methods
We identified firms that have been the target of federal or state lawsuits for engaging in business practices that contributed to the opioid crisis or named in a Senate report as funders of advocacy organizations that contributed to the crisis.2,3,4,5 PACs sponsored by firms of interest or their subsidiaries, their parent companies, or employees were identified by searching for firms named in the US Federal Election Commission (FEC) campaign finance PAC database. Using campaign contribution data and PAC data collected by the FEC and aggregated by the Center for Responsive Politics, a nonprofit, nonpartisan research group that monitors the flow of money to candidates for political office, we identified contributions made by identified PACs to current members of the Senate HELP Committee and the House Energy and Commerce Committee. Lists of committee members were obtained from the official websites of both committees and were current as of July 9, 2018. We focused our analysis on contributions made during the most recently completed 2-year election cycle, ending in November 2016.
Results
We included 4 firms that distribute opioids—AmerisourceBergen, Cardinal Health, McKesson, and Miami-Luken—and 9 firms that manufacture and market opioids—Allergan, Depomed, Endo Health Solutions, Insys, Johnson & Johnson (through subsidiary Janssen Pharmaceuticals), Mylan, Mallinckrodt, Purdue Pharma, and Teva Pharmaceutical Industries (through subsidiaries Actavis and Cephalon). Ten of 13 firms were associated with a total of 12 PACs that made campaign contributions to members of the congressional committees of interest (listed in a Table 1 footnote). No contributions were found from PACs associated with Miami-Luken, Depomed, or Insys.
Table 1. Campaign Contributions to Members of the House Energy and Commerce Committee During the 2016 Election Cyclea.
Member | Contribution Amount, $ | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Amerisource | Cardinal | McKessonb | Allerganb | Endo | Johnson & Johnson | Mallinckrodt | Mylan | Purdue | Teva | Total | |
Frank Pallone Jr (D, NJ) | 10 000 | 10 000 | 10 000 | 2000 | 10 000 | 2000 | 2500 | 10 000 | 56 500 | ||
John M. Shimkus (R, IL) | 9500 | 4500 | 10 000 | 6000 | 2000 | 8500 | 10 000 | 1000 | 5000 | 56 500 | |
Ryan Costello (R, PA) | 8000 | 2000 | 10 000 | 10 000 | 5000 | 2500 | 7500 | 45 000 | |||
Fred Upton (R, MI) | 10 000 | 2500 | 9350 | 7500 | 5000 | 2500 | 2500 | 39 350 | |||
Diana DeGette (D, CO) | 7500 | 5000 | 10 000 | 9000 | 1000 | 5000 | 37 500 | ||||
Brett Guthrie (R, KY) | 10 000 | 5000 | 10 000 | 4500 | 1500 | 6000 | 37 000 | ||||
Michael Burgess (R, TX) | 6000 | 2500 | 10 000 | 5000 | 3000 | 1000 | 27 500 | ||||
Marsha Blackburn (R, TN) | 2000 | 7500 | 10 000 | 4500 | 1000 | 2000 | 27 000 | ||||
Susan Brooks (R, IN) | 2500 | 7000 | 10 000 | 2500 | 4000 | 1000 | 27 000 | ||||
Gene Green (D, TX) | 3500 | 2500 | 10 000 | 7500 | 1000 | 2500 | 27 000 | ||||
Joe Kennedy III (D, MA) | 6000 | 10 000 | 9000 | 2000 | 27 000 | ||||||
Gus Bilirakis (R, FL) | 4500 | 10 000 | 3500 | 1000 | 7500 | 26 500 | |||||
Leonard Lance (R, NJ) | 5000 | 10 000 | 1000 | 8500 | 24 500 | ||||||
Robert E. Latta (R) | 3000 | 10 000 | 10 000 | 500 | 1000 | 24 500 | |||||
Greg Walden (R, OR)c | 2500 | 2500 | 10 000 | 7000 | 1500 | 23 500 | |||||
Doris O. Matsui (D, CA) | 10 000 | 2500 | 5000 | 3000 | 1000 | 1500 | 23 000 | ||||
Cathy McMorris Rodgers (R, WA) | 9000 | 5000 | 5000 | 4000 | 23 000 | ||||||
Anna Eshoo (D, CA) | 4500 | 10 000 | 8000 | 22 500 | |||||||
Steve Scalise (R, LA) | 10 000 | 10 000 | 1000 | 21 000 | |||||||
Buddy Carter (R, GA) | 8000 | 2500 | 10 000 | 20 500 | |||||||
David McKinley (R, WV) | 7500 | 5000 | 1000 | 7000 | 20 500 | ||||||
Bill Flores (R, TX) | 5000 | 15 000 | 20 000 | ||||||||
Mimi Walters (R, CA) | 500 | 5000 | 8500 | 2500 | 2000 | 1000 | 19 500 | ||||
Scott Peters (D, CA) | 2750 | 10 000 | 5500 | 1000 | 19 250 | ||||||
Chris Collins (R, NY) | 2500 | 3000 | 7000 | 6000 | 18 500 | ||||||
Peter Welch (D, VT) | 7000 | 2500 | 5000 | 3000 | 1000 | 18 500 | |||||
G. K. Butterfield (D, NC) | 4000 | 7500 | 2000 | 1000 | 2500 | 17 000 | |||||
Billy Long (R, MO) | 5000 | 6000 | 5000 | 16 000 | |||||||
Bill Johnson (R, OH) | 4500 | 7000 | 3500 | 15 000 | |||||||
Ben R. Lujan (D, NM) | 4500 | 7500 | 2500 | 14 500 | |||||||
Tony Cardenas (D, CA) | 1500 | 3000 | 5000 | 1000 | 2500 | 1000 | 14 000 | ||||
Morgan Griffith (R, VA) | 2000 | 2000 | 2500 | 7500 | 14 000 | ||||||
Kurt Schrader (D, OR) | 10 000 | 1000 | 11 000 | ||||||||
Paul Tonko (D, NY) | 3500 | 7500 | 11 000 | ||||||||
Larry Bucshon (R, IN) | 7500 | 1000 | 1000 | 9500 | |||||||
Raul Ruiz (D, CA) | 3250 | 5000 | 1000 | 9250 | |||||||
Adam Kinzinger (R, IL) | 9000 | 9000 | |||||||||
Pete Olson (R, TX) | 2500 | 2000 | 1000 | 2000 | 1000 | 8500 | |||||
Markwayne Mullin (R, OK) | 2000 | 1000 | 5000 | 8000 | |||||||
Joe Barton (R, TX) | 7500 | 7500 | |||||||||
Mike Doyle (D, PA) | 1000 | 2500 | 2500 | 6000 | |||||||
Debbie Dingell (D, MI) | 2500 | 2500 | 5000 | ||||||||
Richard Hudson (R, NC) | 2500 | 2000 | 4500 | ||||||||
Jerry McNerney (D, CA) | 2500 | 2500 | |||||||||
Yvette D. Clarke (D, NY) | 2000 | 2000 | |||||||||
David Loebsack (D, IA) | 2000 | 2000 | |||||||||
Kevin Cramer (R, ND) | 500 | 1000 | 1500 | ||||||||
Eliot L. Engel (D, NY) | 1000 | 1000 | |||||||||
Gregg Harper (R, MS) | 1000 | 1000 | |||||||||
Totald | 154 500 | 112 000 | 301 350 | 44 500 | 33 000 | 150 500 | 16 500 | 27 000 | 5000 | 78 000 | 922 350 |
Source: Center for Responsive Politics, Open Secrets (https://www.opensecrets.org/open-data). Members who did not receive payments: Kathy Castor (D, MI), Jeff Duncan (D, SC), Bobby Rush (D, IL), John Sarbanes (D, MD), Janice Schakowsky (D, IL), Tim Walberg (R, MI). Political action committees (PACs) associated with firms of interest: AmerisourceBergen Corporation PAC; Cardinal Health Inc PAC aka Cardinal Health Companies PAC; McKesson Corporation Employees Political Fund; US Oncology Inc Network PAC; Allergan Inc PAC; Allergan Inc PAC for Employees; Endo Pharmaceuticals Inc PAC; Johnson & Johnson PAC; Mallinckrodt LLC PAC; Mylan Inc PAC; Purdue Pharma Inc PAC; Teva Pharmaceuticals USA Inc PAC. Included were 2 employee-funded PACs because there is evidence that corporate interests also drive employee PACs.6
Associated with 2 PACs.
Committee chair.
Mean contribution, $18 823; median, $18 500 (range, $1000-$56 500).
In the House Energy and Commerce Committee, 49 (89.1%) of 55 members received a campaign contribution from 1 or more of the PACs (Table 1). Among members who received contributions, the median amount received from all PACs was $18 500; the minimum amount received by any member was $1000; the maximum amount was $56 500. In the Senate HELP Committee, 15 (65.2%) of 23 members received a contribution from 1 or more of the PACs (Table 2). Among members who received contributions, the median amount received from all PACs was $18 500; the minimum amount received by any member was $1500; the maximum amount was $48 500.
Table 2. Campaign Contributions to Members of the Senate Health, Education, Labor, and Pensions Committee During the 2016 Election Cyclea.
Member | Contribution Amount, $ | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Amerisource | Cardinal | McKessonb | Allerganb | Endo | Johnson & Johnson | Mallinckrodt | Mylan | Purdue | Teva | Total | |
Richard Burr (R, NC)c | 6500 | 7500 | 5000 | 2500 | 1000 | 9000 | 3500 | 2500 | 10 000 | 1000 | 48 500 |
Patty Murray (D, WA)c | 6000 | 10 000 | 10 000 | 3500 | 5500 | 1000 | 5000 | 41 000 | |||
Tim Scott (R, SC)c | 10 000 | 5000 | 7000 | 7000 | 2500 | 1000 | 1000 | 2500 | 36 000 | ||
Orrin G. Hatch (R, UT) | 8000 | 5000 | 7500 | 5000 | 2000 | 1000 | 28 500 | ||||
Bob Casey (D, PA) | 8750 | 2500 | 3500 | 10 000 | 24 750 | ||||||
Johnny Isakson (R, GA)c | 2000 | 6000 | 1000 | 8000 | 2000 | 2000 | 21 000 | ||||
Michael F. Bennet (D, CO)c | 5000 | 7500 | 5000 | 1000 | 1000 | 19 500 | |||||
Bill Cassidy (R, LA) | 3500 | 5000 | 10 000 | 18 500 | |||||||
Todd Young (R, IN)c | 6000 | 5000 | 1000 | 12 000 | |||||||
Lamar Alexander (R, TN)d | 1000 | 10 000 | 11 000 | ||||||||
Tim Kaine (D, VA) | 3500 | 2500 | 2500 | 8500 | |||||||
Pat Roberts (R, KS) | 5000 | 2500 | 7500 | ||||||||
Lisa Murkowski (R, AK)c | 1000 | 2000 | 2000 | 5000 | |||||||
Mike Enzi (R, WY) | 3000 | 3000 | |||||||||
Tammy Baldwin (D, WI) | 1500 | 1500 | |||||||||
Totale | 61 250 | 47 500 | 55 000 | 27 500 | 3000 | 44 500 | 9500 | 7500 | 11 000 | 19 500 | 286 250 |
Members who did not receive payments: Susan Collins (R, ME), Maggie Hassan (D, NH; up for election in the 2016 cycle), Doug Jones (D, AL), Christopher Murphy (D, CT), Rand Paul (R, KY; up for election in the 2016 cycle), Bernie Sanders (D, VT), Tina Smith (D, MN), Elizabeth Warren (D, MA). See Table 1 footnote for data source and political action committee details.
Associated with 2 political action committees.
Members up for election in the 2016 cycle.
Committee chair.
Mean contribution, $19 083; median, $18 500 (range, $1500-$48 500).
Discussion
During the 2016 election cycle, majorities of the Senate HELP Committee and the House Energy and Commerce Committee received campaign contributions from PACs associated with firms investigated for contributing to the opioid crisis. These donations are legal and may not have been related to the member’s position on the committees examined. Because the study was limited to a single election cycle and did not capture contributions from the full range of industry stakeholders and because individual (non-PAC) contributions and contributions made through super-PACs or other PACs were not included, these findings may be an underestimate of lawmakers’ financial ties to the opioid industry.
Section Editor: Jody W. Zylke, MD, Deputy Editor.
References
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